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Forms

This page provides links to the most current versions of the forms used by PEBA Retirement Benefits. To use our forms, you will need to have the Adobe Acrobat Reader installed on your computer.

Find Your Form


To open a form, use the form name or number. All forms can be filled out online and printed to your printer.

Printing Instructions

To print the form, use the Print button at the top or the bottom of the form. This will create an Adobe PDF format document, which should then display in your browser. You may then print the PDF file to paper using the print icon on the Adobe Reader toolbar.

To return to the forms table from the form, use the Back button on the toolbar in your browser.

Note: At this time, electronic submission of forms is not available.